Chronic Ankle Instability

How does chronic ankle instability develop?

1. Initial Injury: Often starts with an acute ankle sprain, where the ligaments around the ankle are stretched or torn, usually from the ankle rolling outward and the foot turning inward (inversion).

2. Inadequate Recovery: If the initial sprain isn't treated properly, the ligaments may not heal fully, leading to weakness and poor joint awareness.

3. Repeated Stress: A weakened ankle is more likely to sprain again, and repeated sprains or poor joint mechanics can worsen the instability.

4. Functional and Structural Problems: Muscle weakness, altered joint mechanics, or alignment issues over time can further contribute to chronic instability. 

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Signs and Symptoms of Chronic Ankle Instability 

• Frequent Sprains: Regularly twisting or rolling the ankle, even with minor trauma.

• Instability: A feeling of the ankle "giving way" during activities or while walking.

• Swelling and Pain: Ongoing swelling, especially after physical activity.

• Weakness: Decreased strength in the ankle and lower leg muscles.

• Proprioception Issues: Difficulty with balance and coordination, particularly on uneven surfaces.